Tag: Healthcare providers

Healthcare Revenue Boosting Tips

Increase Revenue by Improving These 3 Front-End Processes

In today’s competitive environment, creating the ultimate “patient experience” will truly differentiate your surgery center and is paramount to building a successful and growing ASC. To create this experience, a patient should be treated with care, respect and competence in each and every interaction with your staff, your processes, your technology and your surgeons. This […]
Learn More
Patient Focused Telehealth

Three Key Considerations For Patient-Focused Telehealth

Even though virtual healthcare has been possible for over a decade, the technology officially became an integral part of the care process as a direct result of COVID-19. Telemedicine can offer on-demand medical attention to patients anytime and anywhere, but it’s essential for virtual care to be easily accessible to anyone who needs it. True […]
Learn More
Home Dialysis Medicare Payment

CMS Finalizes Payment Model Aimed At Boosting Access to Home Dialysis, Kidney Transplants

The Trump administration has finalized a rule aimed at boosting access to home dialysis and translation for patients with end-stage renal disease. The Centers for Medicare & Medicaid Services estimates that the End-Stage Renal Disease Treatment Choices Model will save Medicare $23 million over the next five years. The value-based model is designed to incentivize providers to […]
Learn More
Telehealth Reimbursement

Telehealth Reimbursement Just for Value-Based Providers Post-COVID?

Telehealth reimbursement expansions granted during the PHE may be limited to providers in Advanced APMs moving forward to prevent program integrity issues, MedPAC said at a recent meeting. The Medicare Payment Advisory Commission (MedPAC) is the latest group to weigh telehealth reimbursement expansions after the COVID-19 pandemic. In a meeting held virtually last week, MedPAC analysts Ariel […]
Learn More
COVID-19 Coding and Claims Requirement

Providers Confused by COVID-19 Coding, Claim Requirements

Erratic claim volumes and confusion over COVID-19 coding and claim requirements are the top issues impacting revenue cycle operations, according to a new survey of financial leaders at US hospitals and health systems. Conducted through the Healthcare Financial Management Association’s (HFMA) Pulse Survey program, the survey commissioned by Alpha Health asked 587 chief financial officers and revenue cycle leaders […]
Learn More
EM Coding Guidelines

2021 E/M Guideline and Leveling Changes

Providers need a mechanism to be accurately reimbursed for the time and effort that they expend in providing care. Evaluation and Management (E/M) leveling has been the standard method in which to provide appropriate, defensible payments for services. However, it has been successfully argued that the 1995 and 1997 E/M guidelines in place today are […]
Learn More
Patient Counseling

CMS Announces New Payment Allocation for COVID-19 Patient Counseling

  CMS will leverage existing evaluation and management (E&M) payment codes to reimburse eligible providers for the coronavirus counseling services.  The Centers for Medicare & Medicaid Services (CMS) will make payment available to physicians and providers for counseling patients at the time of COVID-19 testing about the importance of self-isolation after they are tested and prior to […]
Learn More
x